[1]许文友.麻醉深度对开颅手术患者术后早期认知功能的影响[J].中国实用乡村医生杂志,2020,27(05):44-46.[doi:10.3969/j.issn.1672-7185.2020.05.016 ]
 XU Wenyou.Effect of Anesthesia Depth on Early Cognitive Function of Patients after Craniotomy[J].Chinese Practical Journal of Rural Doctor,2020,27(05):44-46.[doi:10.3969/j.issn.1672-7185.2020.05.016 ]
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麻醉深度对开颅手术患者术后早期认知功能的影响()
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《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
27
期数:
2020年05期
页码:
44-46
栏目:
论著
出版日期:
2020-05-15

文章信息/Info

Title:
Effect of Anesthesia Depth on Early Cognitive Function of Patients after Craniotomy
文章编号:
 1672-7185(2020)05-0044-03 
作者:
许文友
作者单位:122100 辽宁 北票,北票市中心医院麻醉科
Author(s):
XU Wenyou
(Department of Anesthesiology, Beipiao Central Hospital, Beipiao 122100, Liaoning Province, China)
关键词:
 麻醉深度颅脑手术认知功能影响
Keywords:
 Depth of Anesthesia Craniocerebral Surgery Cognitive Function Influence
分类号:
 R61 
DOI:
10.3969/j.issn.1672-7185.2020.05.016
文献标志码:
 A
摘要:
 目的 探讨麻醉深度对开颅手术患者术后早期认知功能的影响。方法 选择2018年6月—2019年6月在北票市中心医院接受开颅手术的患者90例,随机分为浅麻醉组和深麻醉组各45例。比较两组手术前后不同时间点平均动脉压和心率变化情况。以简易智能量表评价并比较两组手术前后不同时间点的认知功能。结果 两组手术前后不同时间点平均动脉压和心率差异无统计学意义(P>0.05)。两组术后第1天和第3天简易智能量表评分差异有统计学意义( P<005),术后第7天简易智能量表评分差异无统计学意义( P>0.05)。结论 对于行开颅手术的患者,在保证安全的前提下进一步增加麻醉深度,并不会影响血流动力学的稳定性,而且有利于患者术后早期认知功能的恢复。
Abstract:
Objective To explore the effect of anesthesia depth on early cognitive function of patients after craniotomy. Methods A total of 90 patients undergoing craniotomy in Beipiao Central Hospital from June 2018 to June 2019 were randomly divided into shallow anesthesia group and deep anesthesia group, 45 cases in each group. The changes of mean arterial pressure and heart rate at different time points before and after operation were compared between the two groups. The cognitive function of two groups at different time points before and after operation were evaluated and compared by MMSE. Results There was no significant difference in MMP and HR between the two groups at different time points before and after operation (P > 0.05). There was significant difference in MMSE score between the two groups on the 1st and 3rd day after operation (P < 0.05), but there was no significant difference on the 7th day after operation (P > 0.05). Conclusion For patients undergoing craniotomy, further increasing the depth of anesthesia in a proper range will not significantly affect the stability of hemodynamics, but it is conducive to the early recovery of cognitive function.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2020-03-10)

更新日期/Last Update: 2020-06-16